Through my work with clients over the years, I have noticed that many people who initially seek therapy express one or more problems/symptoms that have been affecting their work, relationships, sleep, or ability to enjoy life, but they sometimes do not recognize the problems/symptoms as resolvable or manageable. Sometimes individuals, couples, and families have had a particular problem or symptom for many years, and sometimes a problem can arise suddenly and unexpectedly. People may believe, "This is the way it's always been--there's probably not much hope for change," "There must be something wrong with me," "Nobody else feels this way or has this problem," I can't let anybody know what's going on," Everybody else seems to have a perfect life--partner--child--family."

As a result of these mistaken beliefs, people may feel alone, and embarrassed or ashamed to talk to family and friends about their situation. Some people believe that they shouldn't "burden" other people with their problems, and others may have a poor or inadequate family/social support system and tend to feel isolated and trapped, not knowing where to turn. Sometimes, even talking with well-meaning family members or friends does not really help to alleviate problems or symptoms, and professional help is needed.